scholarly journals Tracheal intubation under fluoroscopic control X ray-guided orotracheal intubation in three cases of impossible direct laryngoscopy

Anaesthesia ◽  
1990 ◽  
Vol 45 (8) ◽  
pp. 675-677 ◽  
Author(s):  
F. Innocente ◽  
C. Ori ◽  
G. P. Giron
Keyword(s):  
Tracheal Intubation ◽  
Direct Laryngoscopy ◽  
Orotracheal Intubation ◽  
X Ray ◽  
Fluoroscopic Control

scholarly journals Criteria for Estimating Likelihood of Difficulty of Endotracheal Intubation with the Macintosh Laryngoscope

1988 ◽  
Vol 16 (3) ◽  
pp. 329-337 ◽  
Author(s):  
C. P. Bellhouse ◽  
C. Doré
Keyword(s):  
Discriminant Analysis ◽  
Tracheal Intubation ◽  
Endotracheal Intubation ◽  
Clinical Evaluation ◽  
Difficult Intubation ◽  
Direct Laryngoscopy ◽  
Macintosh Laryngoscope ◽  
Stepwise Discriminant Analysis ◽  
X Ray

Many anatomical factors in difficult intubation at direct laryngoscopy have been evaluated. Lateral radiographs were taken of nineteen patients in whom tracheal intubation proved particularly difficult, and fourteen patients whose intubation was reasonably straightforward. Stepwise discriminant analysis was used to select the best measurements for distinguishing between the difficult and straightforward groups. The variables which together are most reliable in predicting likely difficulty in intubation are reduced atlanto-occipital extension, reduced mandibular space, and lastly, increased antero-posterior thickness of the tongue. A formula and graph have been derived to relate these variables with likelihood of difficulty, and a method has been described of applying this information at the bedside, without using X-ray examination, to estimate the likelihood of difficulty in intubating a new patient. Eighteen months’ experience of the application of this clinical evaluation have so far found it reliable.

Retrograde intubation of the trachea

1991 ◽  
Vol 105 (9) ◽  
pp. 746-747 ◽  
Author(s):  
Yoram Stern ◽  
Thomas Spitzer
Keyword(s):  
Tracheal Intubation ◽  
Direct Laryngoscopy ◽  
Orotracheal Intubation ◽  
Successful Intubation ◽  
Simple Method ◽  
Airway Control ◽  
Major Complications ◽  
Valuable Adjunct ◽  
Retrograde Intubation

AbstractSuccessful intubation can be accomplished in the majority of patients via direct laryngoscopy. However, situations frequently arise in which simple orotracheal intubation is contraindicated or impossible. In these situations retrograde tracheal intubation may be of particular use. This technique has been performed by novice physicians in cadavers, without difficulty or major complications. It has proved to be a quick, efficient and simple method to establish an endotracheal airway and should be a valuable adjunct for airway control.

scholarly journals DEXMEDETOMIDINE VERSUS ORAL PREGABALIN TO ATTENUATE HEMODYNAMIC RESPONSE TO LARYNGOSCOPY AND OROTRACHEAL INTUBATION: A COMPARATIVE STUDY

2017 ◽  
Vol 10 (5) ◽  
pp. 258
Author(s):  
Soumya Samal
Keyword(s):  
Mean Arterial Pressure ◽  
Tracheal Intubation ◽  
Arterial Pressure ◽  
Direct Laryngoscopy ◽  
Pressor Response ◽  
Hemodynamic Response ◽  
Orotracheal Intubation ◽  
Age Group ◽  
Physical Status ◽  
Group D

INTRODUCTION: The airway instrumentation of direct laryngoscopy and tracheal intubation are powerful noxious stimuli that should be attenuated by appropriate premedication, smooth induction and rapid intubation. The present study compared the  efficacy intravenous dexmedetomidine and oral pregabalin premedication for attenuation of haemodynamic pressor response to laryngoscopy and intubation.METHODS: A total of 60 patients of age group 20-50 years scheduled for elective surgeries under general anaesthesia with ASA physical status I and II were divided into two groups each of 30. Group D received intravenous dexmedetomidine 1mcg/kg over 10 minutes  before induction and group P received  oral pregabalin 150 mg one hour prior to intubation. Parameters observed were heartrate and mean arterial pressure at baseline, after induction, immediately after intubation and then 5, 10, 15 and 30 minutes thereafter.RESULTS: Attenuation of heartrate in group dexmedetomidine (78.12 ± 10.0 / min)  immediately after intubation was statistically significant than group pregabalin (89.76 ± 10.45 / min). Mean arterial pressure significantly (p < 0.05) decreased after intubation with dexmedetomidine. As compared to oral pregabalin, attenuation of  heartrate and mean arterial pressure was statistically significant till 30 minutes after intubation with intravenous dexmedetomidine. CONCLUSION: Intravenous dexmedetomidine 1µg/kg is more effective than oral pregabalin 150 mg in attenuating hemodynamic response to laryngoscopy and orotracheal intubation.KEYWORDS: Hemodynamic pressor response, Laryngoscopy, Intubation, Intravenous dexmedetomidine, Oral pregabalin.

Tracheal Intubation: Direct Laryngoscopy

2020 ◽  
pp. 122-129
Author(s):  
Keith Greenland ◽  
Richard Levitan
Keyword(s):  
Tracheal Intubation ◽  
Direct Laryngoscopy

scholarly journals Comparison of three fixation methods for orotracheal intubation in 95 adults

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Ye Sun ◽  
Hua Fan ◽  
Xiao-Xia Song ◽  
Hua Zhang
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Tracheal Intubation ◽  
Older People ◽  
Endotracheal Intubation ◽  
Orotracheal Intubation ◽  
The Other ◽  
Fixation Methods ◽  
The Difference

Abstract Background The present study aimed to compare three fixation methods for orotracheal intubation. Methods Through literature retrieval, the effects of the adhesive/twill tape method, fixator method, and adhesive/twill tape–fixator alternation method on patients with tracheal intubation in the intensive care unit (ICU) were compared. Results The fixator and alternation methods were more effective in protecting the tongue mucosa and teeth. The alternation method was superior to the other two methods in maintaining the position of the endotracheal intubation. However, the difference in facial and lip injuries between the three methods was not statistically significant. Conclusion The fixator method can significantly reduce intraoral injury and is more suitable for older people with weak tongue mucosa and loose teeth. These are worth popularizing among a wider group.

Evaluation of the cardiovascular responses to fiberoptic orotracheal intubation with television monitoring: comparison with conventional direct laryngoscopy

2000 ◽  
Vol 12 (7) ◽  
pp. 503-508 ◽  
Author(s):  
Yushi U Adachi ◽  
Isao Takamatsu ◽  
Kazuhiko Watanabe ◽  
Yoshitaka Uchihashi ◽  
Hideyuki Higuchi ◽  
...  
Keyword(s):  
Direct Laryngoscopy ◽  
Cardiovascular Responses ◽  
Orotracheal Intubation ◽  
Television Monitoring
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